I note with sadness the death of Barbara Bush, whose life was characterized, if the public image be credited, by steadfastness and firm conviction. I also noted the timing of the releases surrounding her death. An announcement that she would no longer seek active treatment for her heart failure and lung disease, relying only on “comfort care," followed within a day by her passing.

Is it possible her death was "managed" at her own direction? I would certainly find no fault with it. She likely would have been in a constant struggle to breathe — a struggle which she would soon lose despite everyone's best efforts.

Why not allow the rest of us the same dignity in the same circumstances? We employ narcotic infusions and other means ostensibly to ease breathing and alleviate pain, in the knowledge that we are shortening even the brief survival of those to whom we administer these treatments. Where is the benefit to society in requiring anyone in this condition to suffer out the remaining days of life in severe discomfort and distress?

Medical Aid in Dying laws have been enacted in seven states. There is combined experience with these laws of 40 years. The Connecticut legislature recently was unable to muster the courage to follow this lead. Next session would be a good time. 

Herbert Ross M.D.

Lyme